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经纤维支气管镜肺灌洗治疗创伤性肺不张疗效分析

Analysis of traumatic atelectasis treated by fiberbronchoscopic lung lavage

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【作者】 刘延菊曹文华孟玲杨洪吉田红魏丽李忠勤

【Author】 LIU Yan-ju, CAO Wen-hua, MENG Ling, et al. The Fiberbronchoscope Room of Affiliated Hospital of Taishan Medical College, Shandong 271000, China

【机构】 山东省泰山医学院附属医院

【摘要】 目的评价纤维支气管镜肺灌洗治疗创伤性肺不张44例患者的疗效。方法自2001年1月至2007年9月对44例创伤性肺不张患者(外伤后肺不张34例,肺癌术后肺不张6例,食管癌术后肺不张4例)应用纤维支气管镜吸痰及生理盐水肺灌洗方法进行治疗。结果1次灌洗肺复张者38例,2次灌洗肺复张者5例,3次灌洗复张不全者1例。本方法治疗创伤性肺不张的显效率97.7%,有效率2.3%。结论纤维支气管镜肺灌洗创伤小、并发症小、疗效确切,是治疗创伤性肺不张理想的方法。

【Abstract】 Objective To evaluate the therapy result of 44 traumatic atelectasis cases with lung lavage under fiberbronchoscope. Methods 44 traumatic atelectasis cases, which included 34 cases of post-injury, six cases having had operation of lung cancer, and 4 cases having had operation of oesophagus cancer, were treated with sputum aspirated and lung lavage under fiberbronchoscope. All patients were examined by roentgenography or computed tomography before treatment. Results 38 patients recovered completely after the first treatment, 5 patients recovered at the second time, and 1 patient recovered partially at the 3rd time. The excellence rate of this treatment method was 90.7%; the effective rate was 2.3%. Conclusion The lung lavage under fiberbronchoscope is a good effective method in the treatment of traumatic atelectasis, with less complications.

【关键词】 纤支镜肺不张灌洗
【Key words】 fiberbronchoscopeatelectasislung lavage
  • 【文献出处】 临床肺科杂志 ,Journal of Clinical Pulmonary Medicine , 编辑部邮箱 ,2008年10期
  • 【分类号】R641;R563.4
  • 【被引频次】17
  • 【下载频次】90
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